{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T20:43:18Z","timestamp":1777495398055,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2008,7,10]],"date-time":"2008-07-10T00:00:00Z","timestamp":1215648000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2008,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Background:\u2002Evidence suggests that foot problems are common in juvenile idiopathic arthritis (JIA), with prevalence estimates over 90%. The aim of this survey was to describe foot\u2010related impairment and disability associated with JIA and foot\u2010care provision in patients managed under modern treatment paradigms, including disease\u2010modifying anti\u2010rheumatic drugs (DMARDs) and biologic therapies.<\/jats:p><jats:p>Methods:\u2002The Juvenile Arthritis Foot Disability Index (JAFI), Child Health Assessment Questionnaire (CHAQ), and pain visual analogue scale (VAS) were recorded in 30 consecutive established JIA patients attending routine outpatient clinics. Foot deformity score, active\/limited joint counts, walking speed, double\u2010support time (s) (DS) and step length symmetry index % (SI) were also measured. Foot\u2010care provision in the preceding 12 months was determined from medical records.<\/jats:p><jats:p>Results:\u2002Sixty\u2010three per cent of children reported some foot impairment, with a median (range) JAFI subscale score of 1 (0\u20133); 53% reported foot\u2010related activity limitation, with a JAFI subscale score of 1 (0\u20134); and 60% reported participation restriction, with a JAFI subscale score of 1 (0\u20133). Other reported variables were CHAQ 0.38 (0\u20132), VAS pain 22 (0\u201379), foot deformity 6 (0\u201320), active joints 0 (0\u20137), limited joints 0 (0\u201331), walking speed 1.09\u2009m\/s (0.84\u20131.38\u2009m\/s), DS 0.22\u2009s (0.08\u20130.26\u2009s) and SI \u00b14.0% (\u00b10.2\u2013\u00b131.0%). A total of 23\/30 medical records were reviewed and 15\/23 children had received DMARDS, 8\/23 biologic agents and 20\/23 multiple intra\u2010articular corticosteroid injections. Ten children received specialist podiatry care comprising footwear advice, orthotic therapy and silicone digital splints together with intrinsic muscle strengthening exercises.<\/jats:p><jats:p>Conclusion:\u2002Despite frequent use of DMARD\/biologic therapy and specialist podiatry\u2010led foot care, foot\u2010related impairment and disability persists in some children with JIA. Copyright \u00a9 2008 John Wiley &amp; Sons, Ltd.<\/jats:p>","DOI":"10.1002\/msc.134","type":"journal-article","created":{"date-parts":[[2008,7,10]],"date-time":"2008-07-10T13:02:23Z","timestamp":1215694943000},"page":"221-232","source":"Crossref","is-referenced-by-count":36,"title":["A survey of foot problems in juvenile idiopathic arthritis"],"prefix":"10.1002","volume":"6","author":[{"given":"G.","family":"Hendry","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Gardner\u2010Medwin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.F.","family":"Watt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Woodburn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,7,10]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"2488","article-title":"The Juvenile Arthritis Foot Disability Index: Development and evaluation of measurement properties","volume":"31","author":"Andre M","year":"2004","journal-title":"Journal of Rheumatology"},{"key":"e_1_2_1_3_1","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1016\/S0307-742X(21)00183-1","article-title":"Prognosis in juvenile chronic arthritis","volume":"2","author":"Ansell BM","year":"1976","journal-title":"Clinics in Rheumatic Diseases"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-005-3690-1"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/030097402320817022"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2004.tb02688.x"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.87.2.160"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0958-2592(98)90028-1"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.10863"},{"issue":"7","key":"e_1_2_1_10_1","doi-asserted-by":"crossref","first-page":"1202","DOI":"10.1002\/1529-0131(199707)40:7<1202::AID-ART3>3.0.CO;2-R","article-title":"Preliminary definition of improvement in juvenile idiopathic arthritis","volume":"40","author":"Gianinni EH","year":"1997","journal-title":"Arthritis and Rheumatism"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/35.7.695"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/40.11.1309"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-007-0438-9"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0966-6362(02)00122-4"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.11398"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kei091"},{"key":"e_1_2_1_17_1","first-page":"1520","article-title":"Worldwide prevalence of juvenile arthritis \u2013 Why does it vary so much?","volume":"29","author":"Manners PJ","year":"2002","journal-title":"Journal of Rheumatology"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/0958-2592(91)90024-6"},{"issue":"48","key":"e_1_2_1_19_1","first-page":"3357","article-title":"Joint prognosis in systemic juvenile arthritis (100 cases)","volume":"59","author":"Mozziconacci P","year":"1983","journal-title":"La Semaine des h\u00f4pitaux de Paris"},{"key":"e_1_2_1_20_1","first-page":"S163","article-title":"The British version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ)","volume":"19","author":"Nugent J","year":"2001","journal-title":"Clinical And Experimental Rheumatology"},{"key":"e_1_2_1_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/41.12.1428"},{"issue":"1","key":"e_1_2_1_22_1","first-page":"38","article-title":"The relationship of pain and deformity of the rheumatoid foot to gait and an index of functional ambulation","volume":"18","author":"Platto MJ","year":"1991","journal-title":"Journal of Rheumatology"},{"key":"e_1_2_1_23_1","first-page":"943","article-title":"Efficacy of custom foot orthotics in improving pain and functional status in children with juvenile idiopathic arthritis: A randomised trial","volume":"32","author":"Powell M","year":"2005","journal-title":"Journal of Rheumatology"},{"key":"e_1_2_1_24_1","unstructured":"RauflaubB AnsellBM(1979).Foot deformities in juvenile chronic arthritis. 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